三维质量评价模式延续干预应用于前列腺癌患者中的效果观察  

Effect observation of continuous intervention based on three-dimensional quality evaluation model inpatients with prostate cancer

作　　者：过月红[1] 于春亚[1] Guo Yuehong;Yu Chunya(Urinary Surgery,Wuxi Second People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院泌尿外科,214000

出　　处：《国际医药卫生导报》2020年第17期2643-2647,共5页International Medicine and Health Guidance News

摘　　要：目的探讨基于三维质量评价模式的延续干预应用于前列腺癌患者中的效果。方法选择2018年10月至2019年10月收治的前列腺癌患者104例,按随机数字表法分为两组,各52例。对照组行常规延续干预,观察组行基于三维质量评价模式的延续干预,将结构-过程-结果三维质量评价模式作为理论框架,并参考相关文献资料及结合本院实际情况制定患者出院后延续干预方案。对比两组干预前后自护能力、自我管理效能、负性情绪及生活质量情况。结果观察组患者干预3个月后自护技能、自我责任感、自我概念、健康知识水平及自护能力总分均高于对照组(均P<0.05);观察组干预3个月后自我决策、自我减压、正性态度、自我管理效能总分均高于对照组(均P<0.05);观察组干预3个月后HAMA、HAMD 评分均低于对照组(均P < 0.05);观察组干预3 个月后肠道症状、尿路症状、治疗相关症状评分均低于对照组,性生活状况评分高于对照组(均P < 0.05)。结论 基于三维质量评价模式的延续干预应用于前列腺癌患者中可显著提高自护能力和自我管理效能,减轻负性情绪,改善生活质量,值得推广。Objective To explore the effect of continuous intervention based on three-dimensional quality evaluation model in patients with prostate cancer.Methods 104 patients with prostate cancer admitted in our hospital from October 2018 to October 2019 were selected and were divided into two groups according to the random number table method,with 52 cases in each group.The control group underwent routine continuous intervention,and the observation group underwent continuous intervention based on the three-dimensional quality evaluation model.The structure-process-result three-dimensional quality evaluation model was used as the theoretical framework,and reference was made to relevant literature and the actual situation of our hospital to formulate continuous intervention program after discharge.The self-care ability,self-management effectiveness,negative emotions,and quality of life of the two groups were compared before and after the intervention.Results The scores of selfcare skills,self-responsibility,self-concept,health knowledge level,and the total score of self-care ability of the observation group after 3 months of intervention were higher than those of the control group(all P<0.05);the scores of self-decision,self-decompression,positive attitude,and the total score of self-management effectiveness of the observation group after 3 months of intervention were higher than those of the control group(all P<0.05);the scores of HAMA and HAMD of the observation group after 3 months of intervention were lower than those of the control group(all P<0.05);the scores of intestinal symptoms,urinary tract symptoms,and treatment-related symptoms of the observation group after 3 months of intervention were higher than those of the control group,and the score of sexual status was higher than that of the control group(all P<0.05).Conclusion The continuous intervention based on the three-dimensional quality evaluation model can significantly improve self-care ability and self-management efficiency,reduce negative emotions,and improv

关 键 词：三维质量评价模式 延续干预 前列腺癌 自护能力 自我管理效能 负性情绪 生活质量 

分 类 号：R473.73[医药卫生—护理学]